- Maxim Healthcare (Jacksonville, FL)
- …(BCBA). The Behavior Specialist provides midlevel supervision when allowed by the payer source. The Behavior Specialist is accountable to all federal, state and ... local contracts , programs, and Maxim requirements. The Behavior Specialist supports...participates in hiring decisions in collaboration with Clinical + Manager -Behavioral or other office clinical leader + Facilitates the… more
- ChenMed (Miami, FL)
- …tracking the risk positions within ChenMed and understanding performance under VBC contracts , to support the strategic goals of the company. Performs technical and ... business planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost… more
- Elevance Health (Tampa, FL)
- …care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual ... provider networks, claims, finance, and operations strongly preferred. + Healthcare payer experience strongly preferred. + Cost of Care knowledge and experience… more
- AdventHealth (New Smyrna Beach, FL)
- …staff members and lower cost. Direct reports include Med Staff Manager + Clinical Effectiveness including performance improvement, infection control and regulatory ... to ensure appropriate payment for services rendered are received and third-party payer denials are minimized. Facilitates, coordinates, and oversees the expansion of… more